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[Primary aorto-enteric communication]

G Ghilardi1, F Longhi, G Sgroi

  • 1Cattedra di Semeiotica Chirurgica, Università degli Studi di Milano.

Minerva Cardioangiologica
|May 1, 1994
PubMed
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Primary aortoenteric communications are rare, severe complications of abdominal aortic aneurysms. Early diagnosis and surgical intervention are critical, but mortality remains high due to the critical condition of patients and diagnostic challenges.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Oncology

Context:

  • Primary aortoenteric communications are rare but severe complications.
  • Often associated with abdominal aortic aneurysms or neoplastic erosion.
  • Diagnosis is challenging due to incomplete clinical features and critically ill patients.

Purpose:

  • To present a case series of primary aortoenteric communications.
  • To highlight diagnostic challenges and treatment outcomes.
  • To emphasize the importance of early recognition and surgical management.

Summary:

  • This study reviewed eight cases of primary aortoenteric communications over 13 years.
  • Symptoms included gastrointestinal bleeding, abdominal pain, and hemorrhagic shock.

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  • Diagnosis was primarily clinical, leading to urgent laparotomy; surgical repair and aortic grafting were common interventions.

    • Impact:

    • Primary aortoenteric communication carries a high mortality rate (58% in this series).
    • Surgical technique and postoperative antibiotic prophylaxis are crucial for minimizing mortality and preventing graft infection.
    • Improved diagnostic strategies and timely surgical intervention are essential for better patient outcomes.